Emily Renee Selvera, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1361214 Issued in TX

Practice address

620 N Alleghaney Ave
Odessa, TX 79761-4408

Phone

(432) 332-8244

Fax

(432) 580-7428

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Emily Renee Abalos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Permian Basin Rehabilitation Center

  • Audiologist
  • Odessa, TX
  • NPI 1992918585
  NPD (past)
• Permian Basin Rehabilitation Center for Crippled Children and Adults

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Odessa, TX
  • NPI 1104958701

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1376282186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ALLEGHANEY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614408",
            "telephone_number": "432-332-8244",
            "fax_number": "432-580-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ALLEGHANEY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614408",
            "telephone_number": "432-332-8244",
            "fax_number": "432-580-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVERA",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1361214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1361214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ABALOS",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven G Seefeldt, MD
• Martin R Seiler, OPTICIAN
• Hailey Selby
• Simona Paula Selegean, O.D.
• Vani Selvan, M.D.
• Sentry Medical Corporation
• Augusto C Sepulveda, M.D.
• Jaime Serdio Sherwin, M.D.
• Serendipity Therapy Services, PLLC
• Lesley Seright

• Physical Therapist in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.